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BPP-14-994r Miami Shores Village RECE Building Department MAY 14 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: U %'Nlo N�_ 00 rA- C 20 Permit No. Master Permit No.3 pe) y - q9 -LI ROOFING City: Miami Shores County: Miami Dade Zip: FOIio/Parcel#: W % — b )-OS -0 09 a O 1 b3 Is the Building Historically Designated: Yes NO Flood Zone: 35136 OWNER: Name (Fee Simple Titleholder): �Ut �b�@�� e Phone#: IsS 751 ® SSo A Address: a%m_ City: W rim % cz\a0 e," State: Zip: Tenant/Lessee Name: _��, Phone#:_ Email: CONTRACTOR: Company Name: - cZ'Ot A "_ Phone#: Address: % V1 30 &bL . ruo 14'1� City: Qualifier Name: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: 3N1SP6 ��9'S Zip: ;5191 bac �►�— ` V®�` Value of Work for this Permit: $ a 7®® Square/Linear Footage of Work: �`G7 Type of Work: ❑Addition ❑Alterationn ❑New C epair/Replace ❑Demolition Description of Work: 'ir 4ce C%t&,� %wa A0%avm 9D -b L Color thru tile: f N=x==x�:=xx=**�=x:x�=x�:�:��:��:��=x��Fees'�=x:x�:��:x�=x:x=x��=x:��x=x�x=��:x:��=x��=x=x�=x��x� Submittal Fee $ ✓ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ L % . Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT: ' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me thisThe foregoing instrument was acknowledged before me this day of20, by i� S\n�r�,v n�day of, 20 Y, by 1yflJ+QCoet`� , who isd ersonally known o me or who hasproduced who is ersonally known o me or who has produced NOTARY Sign: Print: My C As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI id`A MH �5. 825 __�y Slgn' �PPv PUB�� '10E1-' 8770 WIWI— Expires: Commission APPROVED BY 'S Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 5/6/2014 Property Search Application- Miami -Dade County Address Owner Name Folio WM IJ 1286 NE 99 STREET, MIAMI SHORES PROPERTY INFORMATFO11: Folio: 11-3205-009-0150 Sub -Division: EARLEfON SHORES Property Address 1286 NE 99 ST Mard Shores, FL 33138-2643 Owner ALAN D SHERMAN &W DANA R Mailing Address 1286 NE 99 ST MIAMI SHORES, FL 33138-2643 Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half Floors 3/2/0 1 IN http://wmv.miamidade.g ov/propertysearch/#/ 1/8 Page 1 of 2 This property described as: The West 50 feet of Lot 2 and the East 50 feet ,K ��• i�� Of Lot 3, Block 2,Q VARLET 49 lao O Pla•,. 5 r Vi►►a e Pat Book 43 o is Recor of DATE MOFTO t ZONING DEPT �r �' 2t �' �• ?S 75 K a; AS 17 10 n BLDG DEPT SUBJECT r•O Cr[L FEj o wiPl.�'1ICE WTT�i ALDERAL RELTONS '( HtL-.S AD _ ZJ4T/01l/ �!/lp 1. m � a f� suralrooMaemsmtbat A016 �2c7 /7.Q' r/-O:lor9' t- • br w�otFrof ' a o roi w-�-- a �ia7s `° o.�• 9 2v. 90- � � ,� Q' - � is ccs ttil v Note: ?age 1 of 2 i� p q� N not complete without Cf) Page 2 of 2 with • F� uj ` corresponding Survey -7 If © # . r Of �kaz ere �. u • 2/, 1G /2'70 � Ss � � 2935• � - IV �.`� zs- - �a � �'• n Pool � ' , Qssc $��fl• PROPERTY OF:Sherman, Dana R... and Sherman,'Alan lanth g feet, 4 A BOUNDARY lW7YRlattRfeDefitifBSlfautetpE,L A �tueaw�rarr eeaus�se><eeaF t: ravmaum r hereby tsrdty due then rem meted heraort' tercets dte minrrswm PROPESSE011MLSllR1/EYIMO/iNDfriAPPM0 technical sundards sen forth by the LANNES & GARChk /AVC Board of Laud Survepma Pursuant 10 Le l72927.Fla Tkereare F.�araa:noe�staa<attyffg ew teas AUSOWA a c+d+, Sedco a=. cores a &MM Ftoriaa Moate the eh as F"(3M6WjM FAX rMS)aa22=D t' � flqRpt Surwelor,W. DATE SCALE DRAWN BY I DRWG. NO ?0- 1 L&M401P,92-11634 /D ZD' IZ°E rlbPis ledged26 - - is ler'�Zl 233326 36 9a 1" OP